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In summary, L-carnitine improves MASLD through multiple mechanisms including mitochondrial protection, oxidative stress reduction, and autophagy/apoptosis suppression

Circulation 133 , 24592502 (2016)

The cost and availability of these services vary considerably across Canada

There is no mention of any control over eating or exercise, no mention of weight change, or psychological changes basically no examination of any other factors that could potentially be causing the increased hormonal response separate from ALC
